Organization
JEFFREY R BANAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF RICHARD BANAS DC (OWNER)
(480) 633-6837
Entity
Organization
Contact information
Practice address
4540 E BASELINE, SUITE 106, MESA, AZ 85206
(480) 633-6837
(480) 393-0928
Mailing address
PO BOX 2055, MESA, AZ 85214-2055
(480) 633-6837
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AZ5396
AZ
Other
Enumeration date
02/11/2008
Last updated
04/13/2011
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